Gregg Riddle, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19194 Issued in OH

Practice address

922 E Central Ave
Miamisburg, OH 45342-2543

Phone

(937) 866-1141

Fax

(937) 866-1281

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790863132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E CENTRAL AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E CENTRAL AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422543",
            "telephone_number": "937-866-1141",
            "fax_number": "937-866-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Simman MD LLC
• Richard Simman, MD, LLC
• Christian Richards, RBT
• Jufie Modeloso Richards, RN
• Diana M Richmond, PTA
• Brooke Rigot, DO
• Trista Lynn Rinehart
• Alma Elizabeth Rivera Cruz, MD
• Benjamin Dean Rivera
• Felix Rivera Jr., MD

• General Practice Dentistry in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.